Organization
DEBERRY CONSULTANT SERVICES AND BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS BARBARA L. DEBERRY LCSW (OWNER/OPERATOR)
(414) 416-1032
Entity
Organization
Contact information
Practice address
6815 W CAPITOL DR, SUITE 118, MILWAUKEE, WI 53216-2070
(414) 416-1032
(855) 799-5917
Mailing address
6815 W CAPITOL DR, SUITE 118, MILWAUKEE, WI 53216-2070
(414) 416-1032
(855) 799-5917
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100013723
—
WI
01
—
104100000X
CERTIFIED PSYCHOTHERAPIST TAXONOMY NUMBER
WI
01
—
WI2885
MEDICARE
WI
Enumeration date
08/20/2012
Last updated
06/06/2016
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